Table 1: Progress
monitoring instruments used in SUD treatment.
User interface |
Content |
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Administration |
Number of items |
Need for certification |
Recommended test frequency |
Price for use |
Need of training before use |
Electronic version |
General symptom level |
Social functioning |
Relational functioning |
Treatment alliance |
Client satisfaction |
Substance use |
Motivation |
Psychometric properties |
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The Alcohol and Drug Outcome Measure (ADOM) [7] |
Developed for use in community-based outpatient
addiction services, including community based "after care"
programmes where outcomes can be measured over a period of time. Psychosocial
functioning, and use of drugs. |
Self-report |
18 (20) |
No, can be administered by all clinicians, no
certification demanded. |
Treatment start, 6 weeks, 12 weeks, 24 weeks,
discharge. |
Free of charge |
Required training and be familiar with the guidance
contained in the ADOM guideline. |
Not found |
No |
Yes |
One question |
No |
Satisfaction with own recovery |
Yes. Type and change in frequency of use |
No |
Adequate |
|
Addiction severity assessment tool (ASAT) [8] |
Measure of problem severity in daily functioning,
relational functioning, dysphoric states, dependence severity, recovery
skills and existential factors for adult SUD clients. |
Self-report |
27 |
No, can be administered by all clinicians, no
certification demanded. Self-report. |
No recommended interval reported. |
Yes, but price not reported |
No mandatory training required. |
Not found |
Dysphoric states including anxiety, depression or
irritability |
Yes |
Yes |
No |
No |
Degree of use and function |
No |
Adequate |
|
The Alcohol Treatment Outcome Measure (ATOM) [9] |
Designed to measure the key outcomes of alcohol
treatment whilst remaining a brief and easy to use clinical tool |
Interview |
32 |
No, can be administered by all clinicians, no
certification demanded. Two versions, one for clinical use and one for
research. |
0, 3, 6, 9 months |
Free of charge |
Training recommended. |
Yes |
General health and psychological well being |
Yes |
No |
No |
Yes |
Mostly alcohol, screening for illegal drugs and
medication |
Yes |
Adequate |
|
Brief addiction monitor (BAM) [10] |
A monitoring instrument designed to support
measurement-based care and outcome assessment in speciality care settings |
Self-report |
17 |
No, can be administered by all clinicians, no
certification demanded. |
7 - 30 days intervals |
Free of charge |
No mandatory training required. |
Yes |
Yes |
Yes |
Yes |
No |
No |
Yes |
No |
Adequate |
|
Brief treatment outcome measure (BTOM) [11] |
A monitor instrument for treatment outcomes for
alcohol and other drug clients. |
Interview |
31 |
No, can be administered by all clinicians, no
certification demanded. |
3 months intervals |
Free of charge |
No mandatory training required. |
Yes |
Yes |
Yes |
Yes |
No |
No |
Yes. Type and frequency of use |
No |
Adequate |
|
The Maudsley Addiction Profile (MAP) [12] |
A core research instrument designed as a resource
for treatment services wishing to undertake outcome studies. |
Therapist administered questionnaire |
60 |
No, can be administered by all clinicians, no
certification demanded. |
Entering treatment, and intervals at own choice |
Free of charge |
Training in interview technique. Approx. 1,5 hour. |
Not found |
Emotional or psychological symptoms, health symptoms
and risk behaviour |
Yes |
No |
No |
No |
Yes, type and amount used |
No |
Adequate |
|
Methadone Treatment Index (MTI) [13] |
Designed to monitor treatment progress with clients receiving
methadone maintenance treatment. |
Therapist administered questionnaire |
45 |
No, can be administered by all clinicians, no
certification demanded. |
Report last four weeks, can be used every session |
Free of charge |
Yes |
Yes |
No |
No |
No |
Yes |
No |
Adequate |
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Treatment outcomes Profile (TOP) [14] |
A measure for change and progress to be used with
individual clients and for health planning nationally. |
Therapist administered questionnaire |
38 originally, reduced to 20 |
No, can be administered by all clinicians, no
certification demanded. |
Treatment start and every 3 months |
Free of charge |
Yes, 3 hour course recommended |
Not found |
No |
Yes |
Yes |
No |
No |
Yes |
No |
Adequate |
|
The outcome rating Scale (ORS) [5] |
Used to track client functioning and the quality of
therapeutic alliance over the course of psychotherapy |
Self-report |
4 |
No, can be administered by all clinicians, no
certification demanded. |
Beginning of each session |
Free of charge for individual practitioners. Group,
agencies or health org. for a fee. |
No mandatory training required. Manuals available. |
Yes |
Yes |
Yes |
Yes |
No |
No |
No |
No |
Adequate |
|
Session rating scale (SRS) [4] |
Used to track client functioning and the quality of
therapeutic alliance over the course of psychotherapy |
Self-report |
4 |
No, can be administered by all clinicians, no
certification demanded. |
End of each session |
Free of charge for individual practitioners. Group,
agencies or health org. for a fee. |
No mandatory training required. Manuals available. |
Yes |
No |
No |
No |
Yes |
Yes |
No |
No |
Adequate |
|
Outcome Questionnaire (OQ-45.2) [6] |
Designed to track client response during mental
health treatment. Available alert for off-track progress. |
Self-report |
45 |
No, can be administered by all clinicians, no
certification demanded. |
Beginning of each session |
License has to be purchased |
No mandatory training required. Manuals available. |
Yes, available in Norwegian |
Yes |
Yes |
Yes |
No |
No |
Alert question on drug use |
No |
Adequate |